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Contact Information

ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
1002 TEXAS BLVD.
SUITE 501
TEXARKANA, TX75501
 Phone: 903-792-5005
 Fax: 903-791-1569
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC

NPI # 1629034863
LBN Legal business name ORTHOPEDIC SPECIALISTS OF TEXARKANA PLLC
Authorized official JEFFREY DEHAAN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/25/2006
Last updated 06/09/2009 - About 17 years ago
Identifiers
TX License # G2594
AR Medicaid 131747002
OK Medicaid 100754980A
TX Medicaid 109415302
AR Other 85756 ARKANSAS BCBS
AR Other 5G239 ARKANSAS MEDICARE
TX Other 180802400 DEPT OF LABOR
TX Other CE7233 MEDICARE RAILROAD
TX Other 94AU TEXAS BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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